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Individual

KEELY SHAE THURMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
193908 US HIGHWAY 271, ANTLERS, OK 74523-1386
(580) 271-7080
(580) 298-2081
Mailing address
PO BOX 1012, ANTLERS, OK 74523-1012
(580) 271-7080
(580) 298-2081

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OK

Other

Enumeration date
11/19/2019
Last updated
11/19/2019
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